| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,060 |
13,550 |
$1.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,830 |
8,381 |
$264K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
3,210 |
3,042 |
$153K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,223 |
1,099 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,456 |
2,136 |
$59K |
| 59425 |
|
821 |
565 |
$50K |
| Z7500 |
|
1,317 |
1,178 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
436 |
343 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,924 |
1,547 |
$22K |
| 90686 |
|
1,086 |
965 |
$13K |
| J3490 |
Unclassified drugs |
203 |
183 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
406 |
343 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
127 |
$4K |
| 82948 |
|
996 |
836 |
$2K |
| 81025 |
|
845 |
817 |
$2K |
| 85018 |
|
1,218 |
968 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
42 |
$1K |
| 92552 |
|
117 |
80 |
$732.97 |
| 81003 |
|
210 |
203 |
$394.35 |
| 90715 |
|
16 |
12 |
$296.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$287.00 |
| 90670 |
|
161 |
158 |
$254.40 |
| 99173 |
|
66 |
43 |
$81.20 |
| A4267 |
Contraceptive supply, condom, male, each |
12 |
12 |
$66.68 |
| 90698 |
|
52 |
52 |
$19.80 |
| 90680 |
|
27 |
27 |
$19.80 |
| Z1034 |
|
238 |
167 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 90662 |
|
17 |
16 |
$0.00 |
| Z6400 |
|
12 |
12 |
$0.00 |